Individual provider Active NPI

Beth Amanda Raines, PH.D

  • Psychologist
  • Goldens Bridge, NY
National Provider Identifier
1205541224
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
009012-1 Issued in NY
Practice address
7 Cornel Dr
Goldens Bridge, NY 10526-1418
Phone
(914) 217-0845
NPI assigned
Jan 16, 2023
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 009012-1 NY Primary

Addresses

Primary practice location

7 Cornel Dr
Goldens Bridge, NY 10526-1418

Mailing address

7 Cornel Dr
Goldens Bridge, NY 10526-1418
Phone (914) 217-0845

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Bethraines@aol.com Health Information Exchange (HIE)
CONNECT URL Bethraines@aol.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
009012-1NYMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1205541224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORNEL DR",
            "city": "GOLDENS BRIDGE",
            "state": "NY",
            "postal_code": "105261418",
            "telephone_number": "914-217-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORNEL DR",
            "city": "GOLDENS BRIDGE",
            "state": "NY",
            "postal_code": "105261418",
            "telephone_number": "914-217-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "BETH",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009012-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bethraines@aol.com",
            "affiliation": "N",
            "endpointDescription": "Mailing address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7 Cornel Dr",
            "city": "Goldens Bridge",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105261418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bethraines@aol.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7 Cornel Dr",
            "city": "Goldens Bridge",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105261418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldens Bridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.